Brady Pregerson, MD

: A young female in her late teens presents to the ER for episodes of palpitations and SOB lasting for 10-15 minutes occurring a few times a day for the past 4 days. She denies syncope, chest pain, fever, cough, or other complaints.

: Vital signs are normal except a pulse of ~240. BP is adequate at 129/93. Exam is otherwise normal including clear lungs, no edema.

Rate: 244 bpm, QRS duration: 177 ms, QTc 369 ms

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Check out the latest case report from Brady Pregerson, MD. This report features a woman in her late teens presenting with palpitations and shortness of breath. Can you determine the correct diagnosis?

Case Report: Palpitations and Shortness of Breath

A man in his late 20’s with a history of pancreatitis from alcohol presents to the ED for epigastric and chest pain that started about 6 hours prior. He denies syncope, palpitations, SOB, fever, nausea, vomiting or other complaints but does admit to recent alcohol abuse. He said when he had pancreatitis previously the pain did not go into his chest.

Vital signs are normal except a BP of 161/96

Exam is notable for clear lungs, normal heart sounds, and a tender abdomen.

Our latest emergency department minute quiz from Brady Pregerson, MD, features a patient in his 20s with a history of pancreatitis presenting with epigastric and chest pain. 

Case Report: Pancreatitis Patient Presenting with Torso Pain

: A man in his 90’s presents to the emergency department for fatigue similar to what he had a diverticular bleed a week and a half ago. At that time he required a transfusion of 4 units of blood. He denies any chest pain or shortness of breath but his pulse ox was noted to be low at 85% at home. He states his baseline is about 91-92%. He denies any bleeding, dark stool, or other complaints.

: Vital signs are normal except for a pulse of 97 and a pulse ox of 85% on room air. Exam is notable for clear lungs, hypoxia and symmetric bilateral pitting leg edema. His chest x-ray is read out as normal. His blood work shows a normal CBC, metabolic panel, and cardiac enzymes.

Check out our latest case report from Brady Pregerson, MD, which features a man in his 90s presenting to the ED with fatigue similar to what he had during a diverticular bleed less than 2 weeks prior.

Case Report: Fatigue Following a Diverticular Bleed

: A man in his 60’s presents to the emergency department for 16 hours of non-pleuritic, non-exertional, non-radiating chest discomfort. He denies syncope, palpitations, SOB, fever, cough or other complaints.

: Vital signs are normal except for a borderline pulse is in the mid 90’s. Exam is otherwise normal.

Check out the latest case report from Dr. Brady Pregerson, which features a man in his 60s presenting with 16 hours of chest pain.

Brady Pregerson, MD

Articles

Case Report: Palpitations and Shortness of Breath

Case Report: Pancreatitis Patient Presenting with Torso Pain

Case Report: Fatigue Following a Diverticular Bleed

Case Report: Man in 60s w/ Chest Pain after NTG